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Зачем носить компрессионные чулки

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17 августа 2019

В комплексную терапию варикозной болезни входит ношение специальных утягивающих изделий, предназначенных для поддержания необходимого тонуса вен. Чулки и колготки от варикоза могут быть назначены как для регулярного, так и для временного использования.

Принцип действия чулок от варикоза

Основная цель, которую преследуют врачи, назначая компрессионные колготки при варикозе – снижение проявления венозной недостаточности и симптомов заболевания. Они оказывают следующий эффект на организм:

  • уменьшение диаметра глубоких подкожных и поверхностных вен;
  • значительное снижение обратного заброса крови при клапанной недостаточности;
  • увеличение скорости оттока крови по сосудам;
  • ускорение лимфооттока;
  • повышение способности крови растворять сгустки;
  • снижение выраженности мелких вен и капилляров;
  • уменьшение проницаемости стенок сосудов и, как следствие, – избавление от отеков;
  • снижение вязкости крови.

Все это приводит, прежде всего, к облегчению боли и других неприятных ощущений, сопровождающих варикозную болезнь. Пациенты, регулярно использующие эластичные чулки от варикоза, отмечают существенное уменьшение степени отечности ног и чувство легкости в конечностях.

Показания к ношению компрессионных изделий

Ортопедическая продукция в виде колготок от варикоза применяется не только во время выраженных проявлений заболевания. Её также активно используют при:

  • беременности – в качестве профилактики варикозного расширения вен, если имеется наследственная предрасположенность;
  • склонности к отекам, а также усталости ног после физической нагрузки;
  • пред- и послеоперационном периоде для предупреждения отрыва тромбов при подозрении на тромбоз;
  • избыточной массе тела (2-3 ст. ожирения);
  • диагностике варикоза вен (бедренных и подвздошных);
  • трофических язвах;
  • индурации (уплотнении) тканей голени вследствие варикозного расширения вен.

Любой человек может использовать компрессионный трикотаж. Особенно он полезен спортсменам и людям, которые проводят много времени на ногах. Также в качестве профилактики рекомендовано носить эластичные чулки от варикоза лицам с наследственной предрасположенностью к этой болезни.

Кому нельзя носить компрессионное белье?

Некоторым пациентам с сахарным диабетом противопоказано ношение чулок и других изделий от варикоза. Это связано с высоким риском появления диабетических язв. Чтобы избежать подобных осложнений, необходимо тщательно подбирать чулки от варикоза вен на ногах вместе с эндокринологом и флебологом.

Так как многие изделия выполнены с применением синтетических материалов, возможна аллергическая кожная реакция. Пациентам с дерматитом и крапивницей следует выбирать варианты только из натуральных волокон.

Атеросклероз также является противопоказанием к ношению компрессионного белья. Это связано с тем, что сжатие вен может спровоцировать полное перекрытие тока крови по сосудам и нарушение питания тканей. Итогом станет развитие некротических процессов в нижних конечностях.

Навредит компрессионный трикотаж и при сердечной недостаточности, когда сердце не справляется с нагрузкой. Если усилить приток крови к органу, это может привести к приступу стенокардии или к острому коронарному синдрому.

Классы компрессии

В зависимости от тяжести варикозного расширения вен и целей лечения выделяют следующие четыре группы компрессионного белья.

Класс компрессии № 1 характеризуется воздействием на лодыжку силой, равной 15-20 мм рт.ст. Применяется для профилактики варикоза вен. Может быть рекомендован лицам со склонностью к вечерним отекам, наличием телеангиоэктазий на конечностях и ретикулярных вен. Беременность – еще одно показание для использования белья первого класса сдавливания.

Компрессионные чулки второго класса оказывают давление в 23-32 мм рт.ст. Такие изделия используются во время беременности в качестве профилактики тромбоза глубоких вен, если в этом есть необходимость. Кроме того, возможно использование 2 класса после операции по удалению вен и при остром тромбофлебите.

Третий класс компрессии используется при варикозе с осложнениями, к числу которых относятся:

  • трофические язвы,
  • венозный тромбоз,
  • посттромбофлебитическая болезнь,
  • вено- и лимфонедостаточность.

Данный вид белья оказывает давление на вены в 34-46 мм рт.ст.

Последний, четвертый класс компрессии (давление выше 49 мм рт.ст.) может быть назначен только в крайних случаях, когда имеются врожденные аномалии венозной системы. Обычно такие изделия необходимо заказывать по назначению лечащего врача.

Несмотря на то, что имеются достаточно строгие критерии ношения компрессионных чулок, необходимо обратить внимание на свои ощущения. Изначально возможно усиление боли, которая быстро проходит по мере ношения изделия. Критерием правильно подобранного белья является отсутствие отеков вечером. Чулки должны обладать еще рядом качеств, к которым относятся:

  • эстетичный внешний вид,
  • отсутствие швов,
  • сдавливание должно ослабевать от лодыжки до бедра (от 100% до 40%).
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При наличии совокупности этих критериев и правильно подобранного класса сдавливания можно рассчитывать на эффективное лечение варикозного расширения.

Что нужно знать о размерах ортопедического белья?

Всем пациентам с проблемными венами следует знать, как подобрать компрессионные чулки при варикозе. После того, как специалист сообщит необходимый класс сдавливания, следует приступить к изучению размеров. Они зависят от следующих параметров:

  • веса,
  • размера обуви,
  • окружности лодыжки,
  • радиуса самой широкой части голени,
  • окружности области колена,
  • радиуса бедра на 5 см ниже промежности.

Исходя из этого, выделяют 7 размеров компрессионного белья. Для удобства некоторые фирмы сократили это количество до 4 (S, M, L, XL). Например, Venoteks пользуется именно такой градацией.

Таблица размеров компрессионных колготок.

В соответствии с видом изделия, следует проводить замеры только тех областей, которые будут стянуты тканью. Например, для гольф не нужны размеры окружности бедра, а только размер обуви, радиус лодыжки и голени.

Наилучшее время для снятия мерок – утро, до того, как ноги коснутся пола. При этом конечности желательно держать выше уровня тела. Тут может потребоваться посторонняя помощь.

Параметры заносятся в таблицу. Далее, после того, как пациент зафиксировал свои данные, он их сравнивает с размерной таблицей белья и выбирает нужный вариант.

Перечень параметров для измерения.

Правила одевания компрессионного трикотажа

Чтобы дорогие ортопедические чулки от варикоза служили долго, следует их правильно надевать и снимать. Перед тем, как впервые использовать компрессионное белье, следует коротко подстричь и обработать пилочкой ногти на руках и ногах. Если планируется ежедневное ношение, лучше приобрести специальные приспособления для надевания. Другими правилами использования изделий от варикоза вен являются:

  • «припудривание» ног тальком в жаркую погоду и при повышенной потливости;
  • необходимость следить, чтобы не было складок на ткани;
  • обрабатывать кожу (особенно области пяток), где есть шероховатости, чтобы нога легко проходила по всей длине изделия;
  • не использовать крема и мази перед надеванием чулка;
  • если появилась петля на изделии — не срезать ее.

Обычно изделия служат не более 6 месяцев при регулярном использовании. Это гарантировано при соблюдении правил ношения и хранения продукта, которые указаны на упаковке.

Надевать компрессионные чулки нужно утром, лежа в кровати, не сделав ни одного шага. Для этого следует выделить носок, а остальную часть изделия собрать в гармошку. По мере продвижения ткани, складки нужно расправлять до тех пор, пока край чулка не коснется бедра. При помощи зеркала можно проверить, не остались ли складки. Если размер подобран правильно, процесс надевания не доставит много хлопот.

Уход за антиварикозным бельем

Требования к стирке изделий от варикоза вен разнятся в зависимости от состава волокон. К основным же правилам ухода за этим бельем относят:

  • стирка осуществляется отдельно от других вещей,
  • использование низких температур воды (до 50 градусов),
  • применение щадящих моющих средств без отбеливающих свойств,
  • ручная стирка предпочтительна,
  • сушка вне прямых источников тепла и солнечных лучей.

Соблюдение этих простых правил позволит прослужить изделию от 3 до 6 месяцев, после чего придется приобрести новое. Лучше сразу купить 2-3 пары чулок от варикозного расширения вен, чтобы иметь возможность заменить их при необходимости.

Основные фирмы-производители

«Интекс» занимается изготовлением компрессионных изделий с 1997 года. Компания выпускает все известные виды трикотажа от варикоза вен: бинты, чулки, гольфы, колготки, а также другую ортопедическую продукцию. В основе эластичных изделий находятся лайкра и полиамидная нить.

Первый компонент дает возможность изделию называться компрессионным. Лайкра – основной материал медицинского лечебного трикотажа. Прочность, влагоустойчивость, мягкость, долговечность – качества, свойственные полиамидной нити. С её помощью изделия можно носить длительное время, не испытывая дискомфорта.

В ассортименте представлены модели различного назначения, цвета и стилистического оформления. Женщинам будет приятно увидеть ажурные резинки по краям чулка. Также присутствуют модели для одной ноги.

Компрессионный трикотаж Интекс.

Фирма «ORTO» изготавливает ортопедическую продукцию, предназначенную для лечения множества болезней. Компрессионное белье также представлено в широком ассортименте. К материалам, из которых изготавливается эластическая ткань, в основном относятся синтетические волокна. Однако производитель постарался учесть потребность покупателей и обеспечил их воздухопроницаемость, влагоустойчивость и гипоаллергенность.

Еще одна компания, занимающаяся изготовлением антиварикозного белья, – «Relaxsan». Отличительной особенностью продукции от варикоза этой фирмы является использование антибактериальных добавок в материалах. Гигиеническая защита изготовлена на основе молекул серебра, что предотвращает прение кожи под одеждой и появление неприятного запаха.

Рынок среднего ценового диапазона занимает фирма по производству компрессионного трикотажа «Венотекс». Для изготовления своих изделий, компания использует микрофибру, хлопок, эластан и нейлон. Высокое качество обеспечивается применением новейших технологий.


Зачем нужны компрессионные чулки для операции

Операционное вмешательство в организм человека – это всегда риск, который может сопровождаться образованием тромбов и внезапной закупорки сосудов. Все это угрожает жизни человека, поэтому при операции нужно использовать госпитальные чулки. Это изделие воспрепятствует возникновению тромбов и поможет защитить здоровье пациента.

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В чем польза госпитального трикотажа?

Первые дни после операции больному положено несколько дней лежать. За это время скорость кровотока в организме снижается, что может стать причиной образования тромбов в нижних конечностях. Чтобы этого не было, необходимо использовать компрессионные чулки, которые равномерно распределяют давление по всей ноге, тем самым улучшая кровообращение.

Даже если у пациента нет проблем с венами на ногах, ему все равно во время и после операции стоит перестраховаться и приобрести медицинские чулки. В этом случае риск возникновения тромбов исчезнет.

Когда надевать госпитальные чулки?

Компрессионные чулки необходимо применять в следующих случаях:

При операционном вмешательстве;

Когда больной вынужден находиться в неподвижном состоянии в течение долгого времени (переломы, постинфарктные состояния);

Во время родов, в послеродовой период.

Трикотажные изделия очень удобны в применении:

Они обтягивают всю ногу и не вызывают какого-либо дискомфорта;

За счет специальных технологий — облегченный процесс надевания;

Благодаря пористой структуре трикотажа – в них не жарко.

Плюс ко всему современные чулки для операции еще и очень красиво смотрятся.

Зачем надевать компрессионные чулки на роды?

Во время родов и после рождения ребенка женщинам необходимо использовать госпитальный трикотаж, чтобы не возникло лишних кровопотерь. Особенно актуально применять медицинские чулки, когда требуется искусственное вмешательство в процесс родов – кесарево сечение. В этом случае надевание госпитальных чулок – обязательное условие.

Однако даже во время обычных родов существует риск, что кровь роженицы перестанет справляться со своими задачами. Это может стать серьезной угрозой для жизни. Компрессионные чулки помогут защитить организм женщины и ее ребенка от тромбоза и расширения варикозных вен.

В современном мире большое количество людей страдает от заболеваний вен нижних конечностей. Причиной этому является сидячий образ жизни, статическая нагрузка, неправильный образ жизни, избыточный вес и генетическая предрасположенность. Совокупность этих факторов ведут к развитию хронической венозной недостаточности. Она, свою очередь, постепенно значительно ухудшают качество жизни и могут привести к грозным осложнениям. Чтобы предупредить развитие болезней вен нижних конечностей, были изобретены компрессионные чулки.

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Зачем нужны компрессионные чулки? Это специальный медицинский трикотаж, создан с лечебно-профилактической целью, который создает на ноге постоянную компрессию и предупреждает развитие венозной недостаточности. В их состав входят эластичные волокна, которые позволяют ткани растягиваться.

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Это позволяет двигаться пациенту в полном объеме и не создает дискомфорта при физической активности. Чулки заменили обычные медицинские бинты и эластичные ленты, которые являются неудобными в использовании и портят внешний вид нижних конечностей. Медицинские чулки практически не отличаются внешне от обычных, что позволяет их носить под любую одежду.

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О чем в этой статье:

Для чего носят компрессионные чулки?

Чтобы понять, для чего нужны компрессионные чулки, следует разобраться в патогенезе развития хронической венозной недостаточности. Из курса биологии известно, что существует несколько типов сосудов, основные из них – это артерии и вены.

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По первым кровь идет от сердца и наполняет все органы кислородом, а по вторым – к сердцу, для насыщения ее оксигеном в легких. То есть, чтобы кровь дошла до сердца, ей необходимо преодолеть силу притяжения. Для этого в венах расположены клапаны, которые перекрывают обратный ток крови. Также существует мышечная помпа – это группа мышц голени, при сокращении которых, кровь движется по венам.

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При нарушении эластичности венозной стенки происходит расширение сосудов. После чего, створки клапанов не могут полноценно перекрывать просвет сосуда. Так запускается процесс застоя крови в венах. И чем больше крови скапливается в венах, тем менее эластичными они становятся, развивается варикозная болезнь. Это заболевание имеет наследственный характер и передается от родителей детям по доминантному типу.

С вероятностью в 75%, варикоз будет у ребенка, если его родитель страдает этой патологией. Но степень выраженности может быть разной: от незначительной сосудистой сеточки на ногах до тяжелых тромбозов глубоких вен. Поэтому, о полном излечении от варикозной болезни говорить нельзя. Но, применение внешней компрессии в виде медицинских чулок обеспечивает постоянное давление в нижней конечности и предотвращает перерастяжение вен.

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Компрессионные чулки имеют такое назначение:

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  • улучшение кровотока в нижних конечностях;
  • профилактика тромбофлебита;
  • устранение сосудистой сетки;
  • предотвращение синдрома уставших ног;
  • профилактика посттромбофлеботических осложнений;
  • предупреждение застоя лимфы;
  • при беременности;
  • во время и после операционных вмешательств;
  • в периоде реабилитации после травм нижних конечностей (переломы, вывихи, растяжения, разрывы связок);
  • при занятии тяжелой атлетикой;

Этот вид трикотажной продукции рекомендуется использовать при длительной статической нагрузке на конечности.

Виды компрессионных чулок

На сегодняшний день компрессионные чулки можно выбрать на любой вкус. Они существуют женские и мужские.

Читайте также:  Онемела нога что делать

p, blockquote 10,0,0,0,0 —>

Чулки могут быть различными по размерам. Для правильного определения размера необходимо измерить такие показатели, как размер стопы, окружность лодыжки окружность икроножной области, окружность бедра на уровне 5 сантиметров ниже ягодичной мышцы и длину от пола до предыдущей области. Все эти данные можно установить самостоятельно, но лучше обратиться к специалисту.

p, blockquote 11,0,0,0,0 —>

Компрессионное белье может выпускаться не только в виде чулок (длина их, в среднем, до средней трети бедра), но и колгот (до области талии) или гольфов (длиной до коленного сустава). Чулки могут иметь кружевной верх или же узоры. В зависимости от цветотипа кожи, можно подобрать соответствующий тон компрессионного белья.

Но, главная классификация компрессионных чулок зависит от уровня создаваемого ими давления.

p, blockquote 13,1,0,0,0 —>

Они делятся на такие категории:

p, blockquote 14,0,0,0,0 —>

  1. Профилактические – создается компрессия на уровне 15-18 мм рт.ст. Используются с целью профилактики развития венозной недостаточности у беременных, во время родов или при усиленной физической нагрузке на нижние конечности.
  2. Лечебные первого класса – уровень давления 18-21 мм рт.ст. Показаны при первых стадиях варикозной болезни, сосудистой сетке на коже, синдроме «усталых ног».
  3. Лечебные второго класса – компрессия в 22-32 мм рт.ст. Доктор назначает при второй, третей стадии варикозной болезни, тромбофлебите.
  4. Лечебные третьего класса – 34-46 мм рт.ст. Эффективны при запущенном варикозе, лимфостазе, трофических нарушениях в нижних конечностях, ишемии тканей.
  5. Лечебные четвертого класса – давление более 46 мм рт.ст. Назначаются в исключительном порядке и под строгим контролем медицинского работника.

В ценовой политике, можно найти белье, подходящее для разных групп пациентов. Средняя цена компрессионного белья начинается от 700 рублей. Она зависит от материала, который используется при изготовлении, качества эластичных волокон, типа плетения. Существуют чулки с силиконовой вставкой, которая дополнительно предотвращает сползание изделия. Положительные отзывы в использовании получили компрессионные чулки «Bwell», «Интекс» и «Soloventex».

p, blockquote 15,0,0,0,0 —>

Наличие сертификации RAL говорит о качественном продукте.

Как правильно носить компрессионные чулки?

Чтобы медицинский трикотаж был максимально эффективен, нужно уметь правильно его надевать и ухаживать за изделием. При неправильном использовании польза значительно снижается. Одеть компрессионные чулки необходимо до того, как пациент встал с постели.

p, blockquote 17,0,0,0,0 —>

Рекомендуется до этого несколько минут подержать ноги в возвышенном положении. При надевании нужно слегка приподнимать конечность. Недопустимо перекручивать изделие или оставлять складки, потому что в этой зоне создается дополнительное сдавливания и может возникать ишемия тканей.

Срок ношения компрессионного белья указывает доктор. Чаще всего, оно не снимается на протяжении всего дня. А при тяжелых заболеваниях – даже ночью. Это не всегда приносит комфорт пациенту, но, стоит помнить, что они могут спасти жизнь и уберечь от тромбоэмболии.

p, blockquote 19,0,0,1,0 —>

Компрессионное белье имеет свой срок эксплуатации. Не рекомендуется использовать его после истекания этого периода или при развитии дефектов.

p, blockquote 20,0,0,0,0 —>

Чтобы чулки служили максимально долго, необходимо правильно ухаживать за ними:

p, blockquote 21,0,0,0,0 —>

  • Разрешается стирать трикотаж только в теплой воде.
  • Из моющих средств разрешено только хозяйственное мыло для стирки.
  • Нельзя выкручивать изделие.
  • При сушке следует разложить чулки на ровной поверхности.
  • На изделие не должны попадать прямые солнечные лучи и вблизи не должен быть искусственный источник тепла.

Изделие должно храниться в аккуратно сложенном состоянии.

Противопоказания к использованию

Все медицинские средства имеют свои противопоказания, компрессионные чулки не исключение. Их запрещено использовать при наличии открытых ран на конечностях, гнойных образований, ожогов, не заживших трофических язв. С осторожностью следует использовать при поражении кожи экземой. Если на компрессионные чулки возникает аллергия, стоит изменить фирму изделия или же отказаться от их использования.

p, blockquote 23,0,0,0,0 —>

Необходимо обязательно проконсультироваться перед началом использования при наличии некоторых заболеваний в анамнезе. Противопоказаниями могут быть сахарный диабет с осложнениями в виде диабетической полинейропатии, микро- и макроангиопатии, облитерирующий эндартериит, идиопатическая тромбоцитопеническая пурпура, заболевания, сопровождающиеся сердечно-сосудистой недостаточностью, аутоиммунные патологии сосудов. Если речь идет о состоянии после тромбоэмболии и при выраженном просттромбофлеботическом синдроме, доктор должен оценить степень риска использования компрессионного белья при варикозе.

p, blockquote 24,0,0,0,0 —>

О компрессионных чулках расскажут эксперты в видео в этой статье.

p, blockquote 25,0,0,0,0 —> p, blockquote 26,0,0,0,1 —>

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